The Science Journal of the American Association for Respiratory Care

2003 OPEN FORUM Abstracts

DOES PROACTIVE INTERVENTION INFLUENCE COMPLIANCE ON CONTINUOUS POSITIVE AIRWAY PRESSURE THERAPY (CPAP)?

Marshall MJ1, Scammels C1, Lowe S2 1Profile Respiratory Systems, Bognor Regis. UK; 2Info. Systems & Services Dept, University Hospital, Aintree. UK

Introduction: MOSTâ (Management of Sleep Therapy) is a new service solution provided by Profile Respiratory Systems. This internet-based proactive patient and clinical support service takes the routine patient management of CPAP therapy, away from the hospital, enabling Sleep professionals the ability to re-allocate clinical resources to oversee patients who require specialist input.

Aim: The aim of our study was to compare the compliance of patients enrolled on MOST with traditional management practices.

Methods:
Compliance data from 30 CPAP naïve subjects, with a confirmed diagnosis of Obstructive Sleep Apnoea (OSA) was recorded using an Encore Proâ Smartcard on a Respironicsâ REMstarâ Auto device. The group was split evenly; half were enrolled on MOST (Mean age: 52.7±9.14 years, Mean Body Mass Index (BMI): 40±9.4 kg/m2) the remainder (Mean age: 51.4±10.6 years, Mean BMI: 38.7±10 kg/m2) received traditional CPAP management. Data was retrieved at day 7, 30 and 90 from all subjects. The MOST subject data was analysed and evaluated by Profile sleep personnel and troubleshooting procedures were implemented according to need. The data from the traditionally managed patient group was available for clinical interpretation by the Sleep centres and standard practices were applied.


RESULTS:
are as shown in the table:


Conclusions:
The number of proactive contact episodes during the first 90 days of CPAP therapy between patient and service provider on MOST was, on average, eight times greater when compared to traditional management of CPAP therapy. Reactive contact episodes in both groups of subjects remained very similar.

Supporting subjects on MOST using proactive intervention has shown to improve compliance in this group when compared to traditional management.

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